Doctor insights on:
Hypoglycemia Gluten Intolerance

1

Intolerance or more?:
Gluten intolerance (about 10% of people) may cause bloating, diarrhea, nonspecific complaints. Celiac disease, among its many manifestations may result in diarrhea. In the latter, exposure of intestine to gluten causes inflammation of affected gut lining, with a decrease in absorptive surface of that gut, & resulting malabsorption of food--best & most enduring fix being to avoid eating gluten.
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Wheat barley rye contains gluten, a protein molecule that in susceptible people can cause reactions and long term illness. There is celiac, the most well known and severe gluten disease. There is gluten sensitivity, affecting more people, but usually milder. There is wheat allergy, less common than the others. The treatment, for now, is to avoid all gluten in food, supplements, drinks, etc.
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3

Unlikely :
The problem with gluten intolerance is it's ability to cause minor symptoms that overlap with many other conditions not be recognized in it's lesser forms.The full blown celiac disease is likely an endpoint to those with the worst expression, but the diagnostic gut lesions improve on a gluten free diet only to return if re-introduced. Gluten can be avoided for life and still be a good one.
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5

Gluten trend:
Celiac disease has always existed in which people need to avoid gluten. Overall this is a small percentage of the population. Recently gluten has become a trendy protein to blame for various things in the media and in business. It has become very big business. It is not necessarily that so many people are all of a sudden intolerant but rather they are blaming many different ailments on gluten.
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6

Yes:
Testing for gluten intolerance, the cause of celiac disease, is usually first done by blood testing for anti-tissue transglutaminase antibodies (ttga) or anti-endomysium antibodies (ema). If these tests are inconclusive, your doctor may recommend additional blood tests or an intestinal biopsy.
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7

Yes:
Migratory glossitis (geographic tongue) has been found in many people who suffer from celiac disease and other auto-immune disorders. It is not a definitive sign that one has problems with gluten, but the association is fairly high and gives reason for further testing and investigation.
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8

Celiac is an allergy:
Celiac disease is gluten allergy, a strong allergic reaction to gluten (a protein in grains such as wheat, barley, malted barley, rye, spelt, etc...). Gluten intolerance is not an allergic reaction, but an intolerance of gluten that leads to tummy symptoms such as gassiness, bloating, loose stools, etc... Gluten intolerance does not cause damage to the intestinal lining like celiac disease does.
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9

Celiac:
Typically people get blood work for specific celiac antibodies but there is a lot of debate on how accurate a negative result is. Most accurate is an endoscopy with biopsy looking specifically for the celiac antibodies or pathology.
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Sensitivity means allergy. Intolerance means something else - usually an inability to digest a component of the food in question. If you are intolerant to cow's milk it could be because you can't digest milk sugar also called lactose. That is called lactose intolerance which is due to lack of an enzyme that digests the milk sugar. The enzyme is called lactase.
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